DR. ANTONIO ANDREW ALFONSO JR. D.M.D.
NPI 1346655677
Dentist in San Fernando, CA

Active since June 25, 2014PECOS Enrolled
732 MOTT ST # 100-110, SAN FERNANDO, CA 91340(818) 963-5690 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Antonio Andrew Alfonso Jr. D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANTONIO ANDREW ALFONSO JR. D.M.D. (NPI 1346655677) is an individual dentist in San Fernando, California, licensed in California (63500) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346655677
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ANTONIO ANDREW ALFONSO JR.Credential: D.M.D.
Location Address732 MOTT ST # 100-110San Fernando, CA 91340-4237
Mailing Address732 Mott St # 100-110San Fernando, CA 91340-4237 · (818) 963-5690
Sole ProprietorYes
Enumeration DateJune 25, 2014
Last NPPES UpdateApril 21, 2020
NPPES CertifiedApril 21, 2020
NPI 1346655677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 63500
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 63500 (CA)
732 MOTT ST # 100-110, San Fernando, CA 91340

Other Identifiers 1

Medicaid63500CA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Antonio Andrew Alfonso Jr. D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91340 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
732 MOTT ST # 100-110
SAN FERNANDO, CA 91340
Social Worker
732 MOTT ST # 100-110
SAN FERNANDO, CA 91340
Nurse Practitioner (Family)
732 MOTT ST # 100-110
SAN FERNANDO, CA 91340
Social Worker (Clinical)
732 MOTT ST # 100-110
SAN FERNANDO, CA 91340

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346655677, enumerated as an "individual" on June 25, 2014.

The provider is located at 732 MOTT ST # 100-110 SAN FERNANDO, CA 91340 and the phone number is (818) 963-5690.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama, Blue Cross. Please consult your insurance carrier or call the provider to verify.